DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20193733

Knowledge, attitude and practice of fever and febrile illness among parents of under five children

Achinta K.R. Mallick, Shalu S. Kumar, Janki Bangari, Himani Suyal

Abstract


Background: Fever in children is the commonest cause for outpatient and inpatient admissions in the health care setup. Though most fever episodes are benign with self-limiting course, it is often a reason for anxiety and concerning for parents. The aim of the study was to assess the parental knowledge, attitude and practice regarding fever in children under five years of age.

Methods: A cross-sectional question based survey, conducted in the pediatric department of a peripheral hospital in Pune, Maharashtra from parents of under five children, presenting for any consultation from July 2018 to December 2018.

Results: There were 636 respondents who completed the study. 38.1% were males. Mean age of responders was 26.85 years (SD 5.12 Range 18 to 37 years). Most of the population were educated lot. 55.5% responders defined fever correctly. There was a huge gap in the parent’s knowledge attitude and practice in fever and it’s management. Lack of information and fear of any untoward incident occurring due to fever were the reason for parental anxiety, frequent medication & combination antipyretic use, and pressure on part of health professionals to increase antibiotic prescriptions.

Conclusions: Lack of parental knowledge of fever and fever management in younger children is of concern in the community in spite of improvement in the educational level of parents. There is a utmost need to spread awareness in the community about the benign and the self-limiting nature of most febrile illnesses.


Keywords


Attitude, fever, Knowledge, Practice, Young children

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References


Bruijnzeels MA, Foets M, Van der Wouden JC, Van den Heuvel WJ, Prins AD. Everyday symptoms in childhood: occurrence and general practitioner consultation rates. Br J Gen Pract. 1998;48(426):880-4.

Hay AD, Heron J, Ness A. The prevalence of symptoms and consultations in pre-school children in the Avon Longitudinal Study of Parents and Children (ALSPAC): a prospective cohort study. Family Pract. 2005;22(4):367-74.

Huibers LA, Moth G, Bondevik GT, Kersnik J, Huber CA, Christensen MB, Leutgeb R, Casado AM, Remmen R, Wensing M. Diagnostic scope in out-of-hours primary care services in eight European countries: an observational study. BMC Family Pract. 2011;12(1):30.

Blumenthal I. What parents think of fever. Family pract. 1998;15(6):513-8.

Schmitt BD. Fever phobia: misconceptions of parents about fevers. Am J dis child. 1980;134(2):176-81.

Taveras EM, Durousseau S, Flores G. Parents' beliefs and practices regarding childhood fever: a study of a multiethnic and socioeconomically diverse sample of parents. Pediatric emergency care. 2004;20(9):579-87.

de Bont EG, Francis NA, Dinant GJ, Cals JW. Parents’ knowledge, attitudes, and practice in childhood fever: an internet-based survey. Br J Gen Pract. 2014;64(618): e10-6.

Walsh A, Edwards H, Fraser J. Over‐the‐counter medication use for childhood fever: a cross‐sectional study of Australian parents. J paedia and child health. 2007;43(9):601-6.

Kramer MS, Naimark L, Leduc DG. Parental fever phobia and its correlates. Pedia. 1985;75(6):1110-3.

Kelly M, McCarthy S, O'Sullivan R. Drivers for inappropriate fever management in children: a systematic review. Int J Clin Pharm. 2016;38:761-70.

Kickbusch IS. Health literacy: addressing the health and education divide. Health promotion International. 2001;16(3):289-97.

Tessler H, Gorodischer R, Press J, Bilenko N. Unrealistic concerns about fever in children: the influence of cultural-ethnic and sociodemographic factors. The Israel Med Assoc J. 2008;10(5):346.

Cohee LM, Crocetti MT, Serwint JR, et al. Ethnic differences in parental perceptions and management of childhood fever. Clin Pediatr. 2010;49:221-7.

Sahm LJ, Kelly M, McCarthy S, O'Sullivan R, Shiely F, Rømsing J. Knowledge, attitudes and beliefs of parents regarding fever in children: a Danish interview study. Acta Pediatr. 2016;105(1):69-73.

Fields E, Chard J, Murphy MS, Richardson M; on behalf of the Guideline Development Group and technical team. Assessment and initial management of feverish illness in children younger than 5 years: summary of updated NICE guidance. BMJ 2013;346:f2866.

Hewson P. Paracetamol: overused in childhood fever. Aus Prescriber. 2000;23(3):60. Available at: https://www.nps.org.au/australian-prescriber/articles/paracetamol-overused-in-childhood-fever. Accessed 06 June 2019

Jensen JF, Tønnesen LL, Söderström M, Thorsen H, Siersma V. Paracetamol for feverish children: parental motives and experiences. Scandinavian J Primary Health Care. 2010;28(2):115-20.

Mistry N, Hudak A. Combined and alternating acetaminophen and ibuprofen therapy for febrile children. Paediatr child health. 2014;19(10):531.

Kelly M, Sahm LJ, Shiely F, O’Sullivan R, McGillicuddy A, McCarthy S. Parental knowledge, attitudes and beliefs regarding fever in children: an interview study. BMC public health. 2016;16(1):540.

McNulty CA, Cookson BD, Lewis MA. Education of healthcare professionals and the public. J antimicrob chemotherapy. 2012;67(suppl_1):i11-8.

Arnold SR, Straus SE. Interventions to improve antibiotic prescribing practices in ambulatory care. Cochrane Database Syst Rev. 2005;4:Cd003539.